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Evaluation Reports

Some evaluation reports are public and can be downloaded from this website, while others are restricted to MSF users and can only be accessed via Tukul. This limitation is mainly due to the sensitive nature of the operational contexts and the resulting content. However, there are internal discussions about making all evaluation reports publicly searchable. If you are an MSF association member, reports are made available on various associate platforms such as www.insideOCB.com.

In recent years, MSF has noted that ‘social violence’ is strongly linked to health exclusion and dysfunctional health systems. Therefore, the Operational Centre Geneva (OCG) initiated an intervention in Honduras in 2010 and a project in Nuevo Laredo, Mexico in January 2014. The current evaluation aims to determine the pertinence, appropriateness, effectiveness and impact of the OCG projects in Honduras and Mexico in responding to identified needs.

This publication was produced at the request of MSF OCG, under the management of the Vienna Evaluation Unit. It was prepared independently by Silvia Gurrola Bonilla, MSc. and Regina Escudero Durán, MD.

In recent years, MSF has noted that ‘social violence’ is strongly linked to health exclusion and dysfunctional health systems. Therefore, the Operational Centre Geneva (OCG) initiated an intervention in Honduras in 2010 and a project in Nuevo Laredo, Mexico in January 2014. The current evaluation aims to determine the pertinence, appropriateness, effectiveness and impact of the OCG projects in Honduras and Mexico in responding to identified needs.

This publication was produced at the request of MSF OCG, under the management of the Vienna Evaluation Unit. It was prepared independently by Silvia Gurrola Bonilla, MSc. and Regina Escudero Durán, MD.

Zahedan Project for Afghan refugees in Iran : 1st a necessary historical review; and an analysis of the political and technical relevance of the project (10 years). MSF could have proposed earlier health activities directly oriented for local Iraniens. The adequacy of means related to project objectives is considered satisfactory.

The evaluation analysed MSF intervention strategies of the TB project in the Penal sector of Kyrgyzstan by reviewing relevance, effectiveness and continuity. It assessed current challenges and shortcomings of the intervention in order to recommend new techniques and approaches for the year 2011 and beyond.

This evaluation was requested by MSF CH Geneva and focuses on the pertinence, efficacy and impact of the sexual violence project in Guatemala. The motivation to evaluate this program stemmed from difficulties at the initial stages of the project in realizing the goals through the original strategies chosen. The results answer key questions about the added value of the intervention regarding the problem of the sexual violence (SV).

Médecins Sans Frontières has been running HIV/AIDS treatment programmes since 2001. As national systems scaled up capacity, MSF began to hand over HIV projects in 2005. Variable experience with handover and internal debates about MSF responsibility to patients led OCG to propose an evaluation of the handover process, to learn from experience and inform policy and practice. A qualitative review was carried out through interviews, case studies in Cameroon and Laos, and review of other vertical and integrated HIV projects.

Following the handover of AIDS treatment programs to the authorities of Guatemala, MSF conducted a study to assess various aspects of the continuity of HIV/AIDS care. This review was conducted 18 months after MSF left the Roosevelt hospital, and examined both the clinical data and opinions of staff and patients. Despite some shortfalls in the frequency of laboratory testing and community follow up, the level of care and outcomes for the patients was well maintained by the hospital staff.

MSF had been working in Honduras and Guatemala in HIV prevention and care of people living with HIV and AIDS for several years before ART projects were started in 2001. In 2005 the projects were handed over to the National AIDS Programme, though MSF-CH kept some staff in both countries to monitor progress. This evaluation was planned a year and a half after handing over the project, to document the perception of people regarding lessons learnt; whether the project was handed over properly; and the quality of care for people living HIV.

In September 2004, the Board of MSF-France decided to undertake a critique of the section’s operations in Darfur in 2003 and 2004. According to the terms of reference, the aim was less to ‘evaluate’ our intervention than to subject it to a critical examination which would enable us to “identify our weaknesses and the ways in which they can be corrected”. It addresses the following issues: